NPI | 1932949666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83229-102) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024002803) |
Enumeration Date | 2024-05-30 |
Last Update Date | 2024-05-30 |